ABSTRACT
To find out the complications occurring during streptokinase infusion in patients presenting with acute myocardial infarction [Ml] in Multan institute of cardiology emergency department. Multan Institute of Cardiology. Multan. January 2008 to June 2008. This is a descriptive study of 200 patients presenting within 12 hours of acute myocardial infarction in Multan Institute of Cardiology emergency, diagnosed on the basis of typical ischemic chest pain, ECG changes of acute MI and raised cardiac enzymes. Out of 200 patients, 135 [67.5%] were male and 65 [32.5%] were female. In SK and control group male to female ratio was 71:29 and 64:36 respectively. Out of 200 patients 139 [69.5%] present with chest pain, 41 patients [20.5%] presented with dyspnea and 20 [10%] with chest pain and dyspnea. Early administration of SK lowers in hospital mortality
Subject(s)
Humans , Male , Female , Myocardial Infarction/therapy , Hospital Mortality , Risk Factors , Electrocardiography , Thrombolytic Therapy/adverse effects , Hypotension , Arrhythmias, Cardiac/etiology , Hypersensitivity/etiology , Chest Pain , DyspneaABSTRACT
Objective: To understand the presence of renal artery stenosis [RAS] in patients with coronary artery disease [CAD] and the correlations among coronary artery disease, renal artery stenosis, hypertension and renal insufficiency
Methods: A prospective observational study carried out at Punjab Institute of Cardiology from January 2003 to July 2003. Convenience based abdominal aortograms was performed to assess the anatomy of renal arteries in 155 patients who were scheduled for coronary angiography
Results: Of the total patient cohort 25 [16. 1 %] had significant [>or=50%] RAS. Out of these 4 [2.6%] patients had bilateral RAS. 6 [3.9%] patients had left sided RAS and 15 [9.7%] patients had right sided RAS. All 25 [100%] patients suffering from RAS had significant CAD. 19 [76%] had triple vessel disease, 5 [20%] had two vessel disease and 1 [4%] had single vessel disease. 64% patients suffering from RAS had hypertension. 3 [12%] patients had elevated serum creatinine
Conclusion: RAS is a frequent finding in patients with CAD, especially in triple vessel disease patients. Hypertension is closely related to RAS. Abdominal/ renal angiogram may be recommended in patients of triple vessel disease